知信行理论指导下姑息护理对晚期结直肠癌化疗患者的影响

Effect of Palliative Care under the Guidance of KAP Theory in Patients with Advanced Colorectal Cancer Undergoing Chemotherapy

目的:探讨知信行理论指导下的姑息护理对晚期结直肠癌化疗患者的影响。方法:选取2019年8月1日~2022年12月31日90例晚期结直肠癌化疗患者随机分为研究组和对照组各45例,对照组给予化疗期间常规护理,研究组给予知信行理论指导下姑息护理;比较两组干预前后Piper疲乏量表(PFS)、数字疼痛评分法(NRS)、汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、中文正性负性情绪量表(PANAS)评分、自我护理能力量表(ESCA)、简明健康状况调查问卷(SF-36)评分,并发症发生率,护理满意度,服药依从性。结果:两组干预后PFS、NRS、HAMD、HAMA、负性情绪(NA)评分低于干预前(P<0.05),研究组干预后PFS、NRS、HAMD、HAMA、NA评分低于对照组(P<0.05,P<0.01);两组干预后ESCA、SF-36、正性情绪(PA)评分高于干预前(P<0.05),研究组干预后ESCA、SF-36、正性情绪(PA)评分高于对照组(P<0.01);研究组并发症发生率低于对照组(P<0.05),护理满意度及服药依从性高于对照组(P<0.05)。结论:知信行理论指导下姑息护理可改善晚期结直肠癌化疗患者的负性情绪和不良心理状态,减轻疼痛及疲乏程度,提高其自护能力、生活质量、护理满意度及服药依从性,减少并发症的发生。

Objective:To explore the effect of palliative care under the guidance of KAP theory in patients with advanced colorectal cancer undergoing chemotherapy.Methods:A total of 90 patients admitted from August 1,2019 to December 31,2022 were selected,and according to the random number table method,they were divided into the study group and the control group with 45 cases in each group.The control group received routine care.The study group received palliative care under the guidance of KAP theory.The PFS,NRS,HAMD,HAMA,PANAS,ESCA,SF-36,the incidence of complications,nursing satisfaction and medication compliance were compared between the two groups before and after the intervention.Results:After intervention,the PFS,NRS,HAMD,HAMA,and NA scores were lower in both groups before intervention(P<0.05),and those in the study group were lower than those in the control group(P<0.05,P<0.01).The scores of ESCA,SF-36,and PA were higher in both groups after intervention than those before intervention(P<0.05),and those in the study group were higher than those in the control group(P<0.01).The incidence of complications during the intervention period was lower in the study group than that in the control group(P<0.05).The nursing satisfaction and medication compliance rates in the study group were higher than those in the control group(P<0.05).Conclusion:Palliative care under the guidance of the KAP theory can improve the negative emotion and bad psychological state,reduce pain and fatigue,improve self-care ability,quality of life,nursing satisfaction and medication compliance in patients with advanced colorectal cancer chemotherapy,and reduce the occurrence of complications.